Northwestern Illinois Home Health

LBN: Illinois Liv, Llc
Northwestern Illinois Home Health is an health care organization with primary practice located at 7017 John Deere Pkwy Ste 2A , Moline IL 61265-8037. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Illinois Liv, Llc can be contacted via phone (309) 623-4022, or through Gachassin, Nicholas via phone (337) 233-1307.

Contact Information

Primary practice address
7017 John Deere Pkwy Ste 2A Moline IL 61265-8037
Phone: (309) 623-4022
Fax: (309) 792-7296
Website:
Map and Directions
Authorized official contact:
Name: Gachassin, Nicholas
Phone: (337) 233-1307

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1477979078
LBN Legal business name Illinois Liv, Llc
DBA Doing business as Northwestern Illinois Home Health
Authorized official Gachassin, Nicholas
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2014
Last updated Feb 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477979078 NPPES
Illinois MEDICAID 421436658004
Illinois MEDICAID 0974923

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